Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. HOLLI VERN JACKSON, MSW
Active Sole ProprietorMR. HOLLI VERN JACKSON, MSW is a Clinical Social Worker healthcare provider located in BETHEL, Alaska. NPI 1699100511 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BETHEL, AK
Registration Details
- NPI Number
- 1699100511
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2013 (12.914492878453 yrs)
- Last Updated
- Nov 20, 2019
- License
-
27403 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
829 CHIEF EDDIE HOFFMAN HWYBETHEL, AK, 99559Browse AK providers · Browse ZIP 99559
- Phone
- 9075436100
- Fax
- 9075436159
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in BETHEL, AK
| Name | Credential | NPI |
|---|---|---|
| LINDA SUE BLINKMANN | MSW, LISW | 1346209087 |
| ALAN LOUIS CIROCCO | LICSW | 1790884807 |
| MR. MOHAMED ZIAUDDIN | MSW, LCSW | 1134299571 |
| MRS. TERESA LYNN LEWIS | LCSW | 1265557375 |
| JULIA BRAGG | — | 1124248455 |
| ALICE CHARLTON | — | 1821218157 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.